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General NPI Number Information
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NPI Number | 1831023340
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Entity Type | Organization
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Legal Business Name | DOULA ALLIANCE OF ARKANSAS
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 101 QUINCY CV
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City | JACKSONVILLE
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State | AR
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Zip | 72076-3326
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Country | US
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Telephone | 501-570-6067
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 345
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City | JACKSONVILLE
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State | AR
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Zip | 72078-0345
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Country | US
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Telephone | 501-570-6067
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LIYAH WASSON
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Credential |
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Telephone | 501-339-8486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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